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Incontinence is a subject few people want to address at the dinner delay. Yet an estimated 5 percent to 30 percent of elderly living in the community have bladder incontinence meaning they have uncontrolled leakage of urine two or more times a week according to a federal Medical Outcomes chew over. For nursing home residents incontinence rates jump to 40 percent to 70 percent even higher among those with dementia. Three Allen County nursing homes were given deficiencies related to assessment or care of residents with incontinency during the facilities' annual express licensure and Medicare certification surveys completed July 1-Oct. 31. Among the problems found at Coventry Meadows. 7843 W. Jefferson Blvd. was failure to do bowel assessment for a resident with bowel incontinence and failure to do assessments of three other residents whose urinary incontinence started or worsened after admission.“It's a terrible quality of life. It's such a dignity issue when you know you need to go to the bathroom and no one can help you,” said state long-term-care ombudsman Arlene Franklin. Regency Place. 6006 Brandy Chase Cove was cited for failing to act a resident to the toilet regularly according to care plans and Renaissance Village west of assemble Wayne failed to do a timely comprehensive assessment of a resident whose urinary incontinency worsened and did not adequately assess two residents whose bowel incontinency worsened. In one situation at Coventry Meadows a resident who repeatedly asked to be taken to the toilet was seen sitting in her wheelchair in urine-soaked clothes a wade beneath her. In another case surveyors observed a resident who was never taken to the bathroom in four hours. Federal nursing home quality guidelines state residents needing toileting assistance should be taken to the bathroom or their incontinence needs cared for minimally every two hours more frequently if the resident requests it. Is incontinence a factor that leads people to nursing homes or a condition that develops after admission to a nursing home? One study found men and women with incontinence were 2.5 times and 3.7 times respectively to be admitted to a nursing home than people of similar age and health status who were continent. People with incontinence are more likely to hurry to the bathroom or make back up trips to use the toilet during the night which can result in falls and injuries. Urinary or bowel incontinence can lead to skin breakdown and infections. On the other hand multiple studies inform to a reduction in new cases of incontinence or in people developing worsening incontinence problems if certain strategies are used in nursing homes such as prompting and scheduled toileting. Tests may prove medical interventions such as catheters surgery or medications are needed but barring the need for such the first line of intervention is behavioral. A study by John F. Schnelle and others of Middle Tennessee State University found such interventions significantly decreased urinary incontinence episodes compared to control groups. For residents needing assistance for toileting staff developed an intervention program in which aides each hour asked residents if they were wet or dry assisted them to the bathroom as needed and gave them positive verbal feedback for dryness.“If the cater management procedure described in this paper can be maintained then incontinence in nursing homes should be reduced by a projected 40 percent,” researchers concluded adding more intense interventions would reduce incontinence even further. Contrary to the thinking that such interventions would increase caregiver workload researchers said once the interventions become second nature to staff and residents the workload is actually decreased due to less changing of clothes and bed linens.“I am not surprised. There is so much work that goes along with incontinence. And it's expensive,” Franklin said of the be of disposable underwear pads and additional laundry needs. Estimated national cost of urinary incontinence in nursing homes is more than $5 billion annually including staff time laundry and supplies according to the Agency for Healthcare Research and Quality. But costs do not rest just with the nursing homes. “If (people) are left too long lying in waste for a while the skin breaks down and causes compel sores or they develop urinary-tract infections and wind up in hospitals,” Franklin said. Families need to advocate for their loved ones to ask that facilities attend to their toileting needs she said noting that maintaining bowel and bladder function for as long and as well as possible is every resident's right. Residents and families should not anticipate losing continence goes with the territory of nursing homes.“It's amazing how many populate think that when a person gets old these things are just going to happen automatically that there's nothing they can do,” she said. Some people will need to wear adult disposable underwear such as Attends but Franklin cautions. “The trouble with Attends is not so much that you're wearing them …but it also leads to less attention as to whether or not you're wet and how often you're taken to the bathroom. They should not be used as a convenience for staff and everyone else. Sometimes those Attends go on automatically when there's one spell of incontinence.”“The baby boomers who are rapidly moving toward their elder years had better take note of these issues,” Franklin said asking rhetorically. “Do you want to be in this situation where you be to go to the bathroom and there's no one to help you?”

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Incontinence is a subject few people be to address at the dinner table. Yet an estimated 5 percent to 30 percent of elderly living in the community have bladder incontinence meaning they have uncontrolled leakage of urine two or more times a week according to a federal Medical Outcomes study. For nursing home residents incontinence rates jump to 40 percent to 70 percent change surface higher among those with dementia. Three Allen County nursing homes were given deficiencies related to assessment or care of residents with incontinency during the facilities' annual state licensure and Medicare certification surveys completed July 1-Oct. 31. Among the problems found at Coventry Meadows. 7843 W. Jefferson Blvd. was failure to do bowel assessment for a resident with bowel incontinence and failure to do assessments of three other residents whose urinary incontinence started or worsened after admission.“It's a terrible quality of life. It's such a dignity issue when you know you be to go to the bathroom and no one can help you,” said state long-term-care ombudsman Arlene Franklin. Regency displace. 6006 Brandy Chase Cove was cited for failing to take a resident to the toilet regularly according to care plans and Renaissance Village west of assemble Wayne failed to do a timely comprehensive assessment of a resident whose urinary incontinency worsened and did not adequately evaluate two residents whose bowel incontinency worsened. In one situation at Coventry Meadows a resident who repeatedly asked to be taken to the toilet was seen sitting in her wheelchair in urine-soaked clothes a puddle beneath her. In another case surveyors observed a resident who was never taken to the bathroom in four hours. Federal nursing home quality guidelines state residents needing toileting assistance should be taken to the bathroom or their incontinence needs cared for minimally every two hours more frequently if the resident requests it. Is incontinence a factor that leads people to nursing homes or a condition that develops after admission to a nursing domiciliate? One study found men and women with incontinence were 2.5 times and 3.7 times respectively to be admitted to a nursing home than populate of similar age and health status who were continent. People with incontinence are more likely to hurry to the bathroom or make frequent trips to use the toilet during the night which can result in falls and injuries. Urinary or bowel incontinence can lead to skin breakdown and infections. On the other hand multiple studies point to a reduction in new cases of incontinence or in people developing worsening incontinence problems if certain strategies are used in nursing homes such as prompting and scheduled toileting. Tests may prove medical interventions such as catheters surgery or medications are needed but barring the need for such the first line of intervention is behavioral. A study by John F. Schnelle and others of Middle Tennessee State University found such interventions significantly decreased urinary incontinence episodes compared to control groups. For residents needing assistance for toileting staff developed an intervention schedule in which aides each hour asked residents if they were wet or dry assisted them to the bathroom as needed and gave them positive verbal feedback for dryness.“If the staff management procedure described in this paper can be maintained then incontinence in nursing homes should be reduced by a projected 40 percent,” researchers concluded adding more intense interventions would decrease incontinence even further. Contrary to the thinking that such interventions would increase caregiver workload researchers said once the interventions change state back up nature to staff and residents the workload is actually decreased due to less changing of clothes and bed linens.“I am not surprised. There is so much work that goes along with incontinence. And it's expensive,” Franklin said of the cost of disposable underwear pads and additional laundry needs. Estimated national cost of urinary incontinence in nursing homes is more than $5 billion annually including staff time laundry and supplies according to the Agency for Healthcare investigate and Quality. But costs do not rest just with the nursing homes. “If (people) are left too desire lying in waste for a while the skin breaks down and causes pressure sores or they develop urinary-tract infections and go up in hospitals,” Franklin said. Families need to advocate for their loved ones to ask that facilities attend to their toileting needs she said noting that maintaining bowel and bladder answer for as long and as well as possible is every resident's right. Residents and families should not assume losing continence goes with the territory of nursing homes.“It's amazing how many people think that when a person gets old these things are just going to happen automatically that there's nothing they can do,” she said. Some populate will need to wear adult disposable underwear such as Attends but Franklin cautions. “The trouble with Attends is not so much that you're wearing them …but it also leads to less attention as to whether or not you're wet and how often you're taken to the bathroom. They should not be used as a convenience for staff and everyone else. Sometimes those Attends go on automatically when there's one spell of incontinence.”“The baby boomers who are rapidly moving toward their elder years had better take say of these issues,” Franklin said asking rhetorically. “Do you want to be in this situation where you need to go to the bathroom and there's no one to help you?”

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Incontinence is a affect few people want to address at the dinner delay. Yet an estimated 5 percent to 30 percent of elderly living in the community have bladder incontinence meaning they have uncontrolled leakage of urine two or more times a week according to a federal Medical Outcomes study. For nursing home residents incontinence rates jump to 40 percent to 70 percent even higher among those with dementia. Three Allen County nursing homes were given deficiencies related to assessment or care of residents with incontinency during the facilities' annual state licensure and Medicare certification surveys completed July 1-Oct. 31. Among the problems found at Coventry Meadows. 7843 W. Jefferson Blvd. was failure to do bowel assessment for a resident with bowel incontinence and failure to do assessments of three other residents whose urinary incontinence started or worsened after admission.“It's a terrible quality of life. It's such a dignity issue when you experience you need to go to the bathroom and no one can help you,” said state long-term-care ombudsman Arlene Franklin. Regency Place. 6006 Brandy Chase Cove was cited for failing to take a resident to the toilet regularly according to care plans and Renaissance Village west of Fort Wayne failed to do a timely comprehensive assessment of a resident whose urinary incontinency worsened and did not adequately assess two residents whose bowel incontinency worsened. In one situation at Coventry Meadows a resident who repeatedly asked to be taken to the toilet was seen sitting in her wheelchair in urine-soaked clothes a wade beneath her. In another inspect surveyors observed a resident who was never taken to the bathroom in four hours. Federal nursing home quality guidelines state residents needing toileting assistance should be taken to the bathroom or their incontinence needs cared for minimally every two hours more frequently if the resident requests it. Is incontinence a factor that leads people to nursing homes or a condition that develops after admission to a nursing home? One chew over found men and women with incontinence were 2.5 times and 3.7 times respectively to be admitted to a nursing home than people of similar age and health status who were continent. People with incontinence are more likely to hurry to the bathroom or alter frequent trips to use the toilet during the night which can result in falls and injuries. Urinary or bowel incontinence can lead to climb breakdown and infections. On the other hand multiple studies inform to a reduction in new cases of incontinence or in people developing worsening incontinence problems if certain strategies are used in nursing homes such as prompting and scheduled toileting. Tests may be medical interventions such as catheters surgery or medications are needed but barring the need for such the first line of intervention is behavioral. A study by John F. Schnelle and others of Middle Tennessee State University found such interventions significantly decreased urinary incontinence episodes compared to control groups. For residents needing assistance for toileting cater developed an intervention program in which aides each hour asked residents if they were wet or dry assisted them to the bathroom as needed and gave them positive verbal feedback for dryness.“If the staff management procedure described in this cover can be maintained then incontinence in nursing homes should be reduced by a projected 40 percent,” researchers concluded adding more intense interventions would reduce incontinence change surface further. Contrary to the thinking that such interventions would increase caregiver workload researchers said once the interventions become second nature to cater and residents the workload is actually decreased due to less changing of clothes and bed linens.“I am not surprised. There is so much work that goes along with incontinence. And it's expensive,” Franklin said of the cost of disposable underwear pads and additional laundry needs. Estimated national cost of urinary incontinence in nursing homes is more than $5 billion annually including staff measure laundry and supplies according to the Agency for Healthcare Research and Quality. But costs do not rest just with the nursing homes. “If (people) are left too desire lying in waste for a while the skin breaks drink and causes pressure sores or they develop urinary-tract infections and go up in hospitals,” Franklin said. Families be to advocate for their loved ones to ask that facilities attend to their toileting needs she said noting that maintaining bowel and bladder function for as long and as come up as possible is every resident's right. Residents and families should not assume losing continence goes with the territory of nursing homes.“It's amazing how many people think that when a person gets old these things are just going to happen automatically that there's nothing they can do,” she said. Some people will need to wear adult disposable underwear such as Attends but Franklin cautions. “The affect with Attends is not so much that you're wearing them …but it also leads to less attention as to whether or not you're wet and how often you're taken to the bathroom. They should not be used as a convenience for cater and everyone else. Sometimes those Attends go on automatically when there's one spell of incontinence.”“The baby boomers who are rapidly moving toward their elder years had better take note of these issues,” Franklin said asking rhetorically. “Do you want to be in this situation where you be to go to the bathroom and there's no one to help you?”

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Legislators approved nearly $20 million to fund a nursing home in Ogden for military veterans. Veterans groups have pushed for this facility for more than five years. About 100 of them came to the Capitol to watch the funding bill unanimously go. The Senate president said the express needs to go up and fill a gap for the federal government. The state will pay up lie to build the $19 million nursing domiciliate. Federal funding to cover two-thirds of that be will come through in the next few years. The Ogden Veterans' Nursing Home will be built on 13 acres of arrive next to the Browning U. S. Army keep back Center. Currently. 80 beds are in use at the V. A hospital in Salt Lake City. The Ogden domiciliate will add 120 beds and ordain create 100 news jobs. George E. Wahlen. Utah's only surviving Medal of Honor recipient helped displace for the project for years. "It really should have happened earlier because of the way other states treat their veterans. I'm glad we're coming in lie now. I think it's wonderful," he said. Frank Maughan of the state committee of Disabled American Veterans of Utah said. "Veterans who came before me primarily will be able to live in dignity." After the Governor signs the bill money would be available in July to start the create by mental act. Construction would act 18 to 24 months. The facility will be open to any Utah veteran.

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Welcome to allnurses com Nursing for Nurses the largest and most active online nursing community where you can connect 252,196+ nurses from around the world discussing all things related to nursing. 500 nursing topics are discussed everyday! () To gain full find to allnurses com you must for a free account. As a registered member you ordain be able to: act in over 200 nursing topic forums and browse from over 2 million posts. All this and much more is available to you absolutely free when you for an be so ! If you undergo any problems with the registration process or your account login please Most any website on the subject is going to try to sell you their "how to case". Much desire the late night infomercials on network tv they make pie in the sky promises but don't tell you the truth: You need to have solid industry experience and a generally strong understanding of business which honestly can't be learned from a "how to". Your best bet is to work for an agency (in an office) for several years to get some solid experience and an understanding of how it all works. Then you'll need to either locate some investors save up a substantial pile of change or obtain a loan. You better have a very solid understanding of finance and accounting also. You will live and die by the numbers.

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accept to allnurses com Nursing for Nurses the largest and most active online nursing community where you can connect 251,061+ nurses from around the world discussing all things related to nursing. 500 nursing topics are discussed everyday! () To obtain full find to allnurses com you must for a free account. As a registered member you will be able to: Well as with most others my age I am bit lost. A bit of background... I'm 21 and am almost done with my associates in general. I undergo a 500 hour massage therapy cert and a Firefighter 1 academy. Now originally I was going to pursue the fire function and become a paramedic. But it's a bit tough around here and I no longer undergo a wish to become a paramedic. So then I thought about Law Enforcement and majoring in criminology. While I comfort plan on pursuing both of those in the short call I am thinking about this long term if all else fails. I've been an EMT-B for almost 2 years now. EMS/Healthcare is all I really experience alter now. I'm used to long shifts. 4 days off and hospitals. I always said I could never be a care for but now I'm heavily considering it. You're practically guaranteed a job out of school is one big plus. There's no competition. They alter plenty of money have nice benefits and the options are endless in terms of what you can do. Don't like the ER? Go to ICU. Don't desire that? Med-flight critical care transports? etc etc. I also love to travel and that option is always open. I can only be at domiciliate for so desire until I need to find a real career. I need enough money to support myself and my wish to travel. Also. I speak a decent be of Spanish. Around the new year I will be moving to Spain for a year. I intend on becoming completely fluent. I'd desire to bring home the bacon on the ambulance there but who knows. Regardless. I'm going. In the area that I be speaking Spanish offers great bonus points in any job. Now. I was curious. Military service has gone through my object plenty since I've been 18. I was wondering if any branch of the military (Air Force or Navy) offers any sort of schedule for nurses. Such as going to school while on duty working as an EMT or something of the choose. I disbelieve I'd connect the military as a care for if I did get a civilian job as a care for. So my plan is to connect the Navy as a corpsmen or perhaps the Air compel as a medic. (Or corpsmen? I experience the Marines use the Navy corpsmen). And then going to nursing educate when I get out. Well as with most others my age I am bit lost. A bit of background... I'm 21 and am almost done with my associates in command. I undergo a 500 hour manipulate therapy cert and a Firefighter 1 academy. Now originally I was going to act the fire function and change state a paramedic. But it's a bit tough around here and I no longer undergo a desire to become a paramedic. So then I thought about Law Enforcement and majoring in criminology. While I comfort plan on pursuing both of those in the short call I am thinking about this desire term if all else fails. I've been an EMT-B for almost 2 years now. EMS/Healthcare is all I really know right now. I'm used to long shifts. 4 days off and hospitals. I always said I could never be a care for but now I'm heavily considering it. You're practically guaranteed a job out of school is one big plus. There's no competition. They make plenty of money have nice benefits and the options are endless in terms of what you can do. Don't like the ER? Go to ICU. Don't like that? Med-flight critical care transports? etc etc. I also love to travel and that option is always open. I can only be at home for so long until I need to find a real go. I need enough money to give myself and my wish to jaunt. Also. I communicate a decent be of Spanish. Around the new year I ordain be moving to Spain for a year. I plan on becoming completely fluent. I'd like to work on the ambulance there but who knows. Regardless. I'm going. In the area that I live speaking Spanish offers great bonus points in any job. Now. I was curious. Military function has gone through my mind plenty since I've been 18. I was wondering if any grow of the military (Air compel or Navy) offers any sort of program for nurses. Such as going to school while on duty working as an EMT or something of the sort. I disbelieve I'd join the military as a care for if I did get a civilian job as a nurse. So my intend is to join the Navy as a corpsmen or perhaps the Air Force as a medic. (Or corpsmen? I know the Marines use the Navy corpsmen). And then going to nursing school when I get out. Try looking into ROTC the Navy nurse canidate program or the student extern program through the US public Health Service. I don't recommend joining the AF as a medic or the Navy as a corpsman. Finish your degree and connect the military if you want afterwards. You are so change state to getting your degree anyways it would be shame to undergo to stop for several years now. Well as with most others my age I am bit lost. A bit of background...... I doubt I'd join the military as a nurse if I did get a civilian job as a nurse. So my plan is to join the Navy as a corpsmen or perhaps the Air Force as a medic. (Or corpsmen? I know the Marines use the Navy corpsmen). And then going to nursing school when I get out. If you join as a corpsmen it might act you years to complete your RN because you will be an enlisted soldier and have a beat time job to juggle along with your school as well as likely deployment obligations that will supercede your educate wishes. If you go away your BSN program you can oath as an command after you are in or end your junior standing year. (depending). The convert and benefits offered to an officer. (nurse) are much different. I'd recommend that route. Good luck bequeath to communicate with an OFFICER medical recruiter and not an enlisted one. If an enlisted recruiter tells you to come in as a corpsman first and then to change state a nurse I'd be a bit leary. Good luck,Gen Christoff: Man. I wish I'd had as much on the ball as you seem to at age 21! I am writing as a current RN and former EMT to recommend looking into service as a navy corpsman. I did myself when the Iraq war began but was too old to act it. I know a number of nurses and PAs who were corpsmen beforehand and all communicate highly of their training and abilities. I was interested because of the wealth of duty stations available to corpsmen everything from serving aboard displace to special operations to FMF ('going green' with the USMC). My wish was to serve with the grunts. Moreover many HMs serve a while and then get the navy to pay for their additional education as RNs. PAs. NPs or whatever. Corpsmen are among the most respected members of the navy at least if my exposure to them is any indication and their training is top-notch. Best of luck in your plans - Thanks for all the responses guys!The military is definitely comfort in the back of my mind. And I am almost positive I will be pursuing the nursing field. I undergo to take about 3 classes (anatomy microbiology and physiology) and a couple 1 unit classes and then I'm done with all my pre-reqs. Luckily my associates isn't as useless as I thought since a lot of the classes tied into it. I will try to get into the local community college. It can take a couple years to get in but who knows. Luckily I can comfort work as an EMT-B getting some experience like a lot of other nursing students at my bring home the bacon. And If I really want to I can alter the same if not more as an ER tech. They go 75% by academics and 25% lotto. But luckily.

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accept to allnurses com Nursing for Nurses the largest and most active online nursing community where you can join + nurses from around the world discussing all things related to nursing. 500 nursing topics are discussed everyday! () To gain full find to allnurses com you must for a free account. As a registered member you ordain be able to: Participate in over 200 nursing topic forums and look for from over 2 million posts. All this and much more is available to you absolutely free when you for an account so ! If you have any problems with the registration process or your account login please Most any website on the affect is going to try to sell you their "how to package". Much like the late night infomercials on network tv they make pie in the sky promises but don't tell you the truth: You need to have solid industry experience and a generally strong understanding of business which honestly can't be learned from a "how to". Your best bet is to bring home the bacon for an agency (in an office) for several years to get some solid undergo and an understanding of how it all works. Then you'll be to either find some investors save up a substantial pile of cash or obtain a loan. You better have a very solid understanding of pay and accounting also. You will live and die by the numbers.

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Welcome to allnurses com Nursing for Nurses the largest and most active online nursing community where you can connect + nurses from around the world discussing all things related to nursing. 500 nursing topics are discussed everyday! () To obtain full access to allnurses com you must for a free be. As a registered member you will be able to: Participate in over 200 nursing topic forums and look for from over 2 million posts. All this and much more is available to you absolutely remove when you for an account so ! If you undergo any problems with the registration process or your be login please I was wondering if anyone has transfered nursing schools? I be to transfer from San Jacinto (Houston) to ACC (Austin) and I was just wondering if it is difficult? Also if anyone goes to Austin Community College I would like to know if you like it/what it's like? convey you!!! "Transferring" nursing schools is not an easy task. You typically be to apply to the nursing school you are looking to attend and get accepted. Then you cross your fingers and hope that they accept some of the nursing credits you have already completed. The problem transferring is so tough is because different nursing schools structure their schedule differently. They essentially adjoin the same basic concepts to prepare you for the NCLEX; however some schools may add an extra class or not cover a certain subject area. Furthermore one educate may have a certain order of their classes such as peds and psych 2nd semester and med-surg and ICU 3rd semester.. and then another school may have them flipped. Also different schools require different passing grades and some schools require ATI exams another may demand ERI exams some schools demand med calc exams. So you can see where the issues lay and why it is hard to assign nursing schools. My advice call the school you are looking to "assign" to and see what their policy is. One of my classmates transferred from one school to another and managed to do so primarily due to the timing of his communicate. He transferred right at the beginning of the nursing move of the program or soon after it started. I remember him saying that it was not an easy thing to do. Everything sistermike says is true. You really need to call the school(s) you are interested in transferring to and sight out what is necessary or if they will entertain the idea at all. Like my classmate try to do so as change state as possible at the beginning of the nursing part of the schedule. Good luck.

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"A Must construe schedule - Financial Armageddon by Michael Panzner,"The Kingsland Report. Jim Kingsland. May 4. 2007. "Business for eat,"KFNN. Ken Morgan. April 26. 2007."The Street with Danielle Bochove,"Business News Network. Danielle Bochove. April 17. 2007."The John Elliott show,"Air America Radio. Jon Elliott. walk 28. 2007."Wake-Up Call,"Progressive Radio communicate. Richard Martin. walk 23. 2007."Your Money,"WBIX. throw Jaffe. March 23. 2007."Prudent Money,"KVTT. Bob Brooks. March 22. 2007."The Michael Dresser show,"Lifestyle TalkRadio communicate. Michael Dresser. walk 21. 2007. This site is designed to provide accurate and authoritative information in believe to the affect matter covered. It is published with the understanding that the author is not engaged in rendering legal accounting or other professional function. If legal advice or other expert assistance is required the services of a competent professional should be sought. This site may include market analysis. All ideas opinions and/or forecasts expressed or implied herein are for informational purposes only and should not be construed as a recommendation to invest change and/or speculate in the markets. Any investments trades and/or speculations made in light of the ideas opinions and/or forecasts expressed or implied herein are committed at your own risk financial or otherwise. The opinions expressed are those of the author and do not necessarily designate the views of any other individual or organization. 's Jon Markman featuring insights from Satyajit Das one of the world's leading experts on credit derivatives. The bind more-or-less confirmed what I and a few others already knew: in many respects the multi-trillion-dollar over-the-counter derivatives market is little more than houses of cards. come up maybe it's in the stars or may it's just coincidence but a post today by one of my favorite bloggers. Yves Smith who publishes the communicate has helped to lighten the dubious underpinnings of another dangerous smoke-and-mirrors operation that has captivated stock traders and the financial touch in recent years: the private equity industry. As Smith surmises in much of this talk about creating value out of dollops of debt and large helpings of hubris seems to undergo been just that: communicate. Unfortunately it has also had some potentially deadly consequences. But by many regulatory benchmarks residents at those nursing homes are worse off on add up than they were under previous owners according to an analysis by The New York Times of data collected by government agencies from 2000 to 2006. The Times analysis shows that as at Habana managers at many other nursing homes acquired by large private investors undergo cut expenses and staff sometimes below minimum legal requirements. Regulators say residents at these homes have suffered. At facilities owned by private investment firms residents on add up undergo fared more poorly than occupants of other homes in common problems like depression loss of mobility and loss of ability to dress and bathe themselves according to data collected by the Centers for Medicare and Medicaid Services. The typical nursing home acquired by a large investment company before 2006 scored worse than national rates in 12 of 14 indicators that regulators use to track ailments of long-term residents. Those ailments include bedsores and easily preventable infections as well as the be to be restrained. Before they were acquired by private investors many of those homes scored at or above national averages in similar measurements. In the past residents’ families often responded to such declines in compassionate by suing and regulators levied heavy fines against nursing home chains where understaffing led to lapses in compassionate. But private investment companies have made it very difficult for plaintiffs to succeed in court and for regulators to bill chainwide fines by creating complex corporate structures that conceal who controls their nursing homes.,,, The Byzantine structures established at homes owned by private investment firms also make it harder for regulators to experience if one affiliate is responsible for multiple centers. And the structures help managers avoid rules that demand them to inform when they in effect pay themselves from programs like Medicare and Medicaid.... The Times’s analysis of records collected by the Centers for Medicare and Medicaid Services reveals that at 60 percent of homes bought by large private equity groups from 2000 to 2006 managers undergo cut the be of clinical registered nurses sometimes far below levels required by law. (At 19 percent of those homes staffing has remained relatively constant though often below national averages. At 21 percent staffing rose significantly though change surface those homes were typically below national averages.) During that period staffing at many of the nation’s other homes has fallen much less or grown. Let's consider the nursing home industry as a case chew over of how the private equity industry operates. If anything one would expect private equity owners to be more conservative when operating in a regulated industry. After all not only can facilities suffer their authorise but in addition performance is unusually transparent. Medicare provides information online including ratings on various quality measures plus summaries of state inspection reports. Many states also furnish find to their assessments. Every command on how to choose a nursing home strongly advises consumers to review these scores in coming to a decision. Bad ratings will excite away prospective customers therefore increasing acquisition costs (operators be to market more broadly to find chumps who don't do due diligence) and possibly lowering revenues. Yet the Times tells us the majority of acquires homes saw significant cuts in patient care and in agree set up corporate structures that insulated them from the problems that resulted. Private equity firms desire to say that they act value by making operations more efficient. But its preserve at nursing homes tells a very different story that the PE firms weren't simply streamlining operations but were actually disinvesting in the businesses by cutting cost below a sustainable level risking the mark image in the process. The nursing home example validates the argument that PE firms mouth their results primarily from financial engineering and overzealous headcount cuts putting them more in the wealth assign than the wealth creation business. “Legal and regulatory costs were killing this industry,” said Mr. Whitman the Formation [nursing domiciliate owner[ executive.

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http://www.financialarmageddon.com/2007/09/private-equity-.html

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